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Products found: 2
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02187086
ETHINYL ESTRADIOL & NORETHINDRONE
Brevicon 0.035mg & 0.5mg Tab-21 Pk
PFI
16.4500
16.4500
NO
NO
NO
02187094
ETHINYL ESTRADIOL & NORETHINDRONE
Brevicon 0.035mg & 0.5mg Tab-28 Pk
PFI
16.4500
16.4500
NO
NO
NO
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